Organization
DONNA L. LEE OD ,D/B/A TALLADEGA FAMILY OPTICAL
Active
Other names
Donna L. Lee OD ,Talladega Family Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH DENSON EDWARDS (ADMINISTRATOR)
(256) 878-9027
Entity
Organization
Contact information
Practice address
112 COURT SQ S, TALLADEGA, AL 35160-2461
(256) 362-9595
(256) 362-0707
Mailing address
PO BOX 457, TALLADEGA, AL 35161-0457
(256) 362-9595
(256) 362-0207
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ST410TA319
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009936628
—
AL
01
—
515-33852
BLUE CROSS BLUE SHIELD
AL
Enumeration date
01/10/2007
Last updated
06/24/2008
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